An EcoPlanet Internet Store
(Please use this form only if you are going to mail or fax your order to us. We
recommend that you print it out and then browse the site.)
EcoPlanet - EcoChoices
P.O. Box 1491
Glendora, CA 91740

Item Number Description Quantity Price Each Sub Total
Sub Total (not including items that require freight quotes): A  
(see chart below)  Shipping & Handling For Above Items: B  
Sub-total of Items Requiring Freight Quote: C 
(Ex: Extra large or heavy items)
Mattresses/Flooring Shipping & Handling (Frt. Quote): D


Miscellaneous: E  
Sales Tax (California Only): F  
Redeem Gift Certificates:  G
Certificate #_____________  Name on Certificate______________
(Please add A, B, C, E & F. Then Subtract G.) Total  

Note:  For Shipments to countries other than the United States or to HI, AK, or PR, please email us with the order details at Contact Us Here  for a freight quote.

U.S. Shipping and Handling Within Contiguous USA
(not for extra large/heavy items)

PLEASE READ: Do not use the chart on the right for extra large/heavy items such as mattresses, flooring products, furniture, refrigerators, items with specific freight charges listed on the web site, etc.

$20.00 or less:  $6.95
$20.01-$50.00:  $8.95
$50.00-$120:  $11.95
$120.01-$175:  10% 
Over $175: 5%
Checks, Money Orders, Or Cashier's Checks
Please make payable to: EcoPlanet - EcoChoices. Checks must be in US Dollars and be encoded at the bottom of the check.
Credit Cards Billing Information (US Orders Only)
 Visa | MasterCard | American Express | Discover
Name as on Credit Card
Billing Street
Billing City, State, & Zip Code
Billing Phone Number
Credit Card Number
Expiration Date
CCV - Credit Card Verification Numbers:
(V/M/D: last 3 or 4 #'s on back of card,
AE: 4 digits on)
Phone number on back of credit card
Email Address

Shipping Information

  Check Here if Same As Billing Address

Full Name:
Shipping Street Address:
City, State, & Zip:
Phone Number:

Thank You!

See website for information about shipping, returns, exchanges, foreign orders, & mattress warranties.